Related Experiment Video

Updated: Jan 24, 2026

Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
04:05

Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis

Published on: June 30, 2023

2.8K

Barriers to Emergency Department Utilization of AFIB Protocol in Uncomplicated Lone AFIB Patients-Results from an

T Britt1, J P Janson1, T Knisely1

  • 1Genesys Regional Medical Center One Genesys Parkway Grand Blanc, MI 48439.

Journal of Atrial Fibrillation
|May 30, 2019
PubMed

Insights

Emergency physicians find extended ED length of stay and unclear follow-up are major barriers to implementing atrial fibrillation (AFIB) protocols. Addressing these issues is key for developing effective AFIB management strategies in emergency departments.

Area of Science:

  • Emergency Medicine
  • Cardiology
  • Health Services Research

Background:

  • Traditional atrial fibrillation (AFIB) management often requires hospital admission for rate control and anticoagulation.
  • Emerging emergency department (ED) protocols aim to manage lone AFIB without admission, but face physician resistance.

Purpose of the Study:

  • To identify barriers perceived by emergency physicians (EPs) regarding the implementation of ED AFIB protocols.
  • To survey EPs on specific components of ED AFIB management that may hinder protocol utilization.

Main Methods:

  • A survey was distributed to a national group of ED physicians to assess perceived barriers to AFIB protocol implementation.
  • Data analysis involved descriptive means and weighted averages to identify key impediments.

Main Results:

  • Only 17.4% of respondents had existing AFIB protocols; 82.6% did not.
  • The primary barriers identified were extended ED length of stay and uncertain discharge follow-up.
  • EPs showed minimal concern regarding cardioversion, rate control, or initiating oral anticoagulation, and supported observation placement and discharge planning.

Conclusions:

  • EP input is crucial for creating cost-effective, safe, and convenient ED AFIB treatment protocols.
  • Addressing ED length of stay and ensuring robust outpatient follow-up are critical for successful protocol design.
Abstract

Keywords:
CardioversionFibrillationPharmacologyProtocolUtilization

More Related Videos

Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department07:52

Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department

Published on: January 29, 2011

16.8K
Testing the Physiological Barriers to Viral Transmission in Aphids Using Microinjection06:01

Testing the Physiological Barriers to Viral Transmission in Aphids Using Microinjection

Published on: May 14, 2008

12.4K

Related Concept Videos

VSEPR Theory and the Effect of Lone Pairs04:01

VSEPR Theory and the Effect of Lone Pairs

Effect of Lone Pairs of Electrons on Molecule Geometry
52.8K
Surveys02:16

Surveys

Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
16.7K
Introduction to Surveying, Plane Surveying and Geodetic Surveys01:27

Introduction to Surveying, Plane Surveying and Geodetic Surveys

Surveying is the art and science of mapping the earth's surface. It involves measuring distances, angles in horizontal or vertical directions, and levels to understand the shape and size of land features. Surveying techniques are essential for various tasks, such as identifying the levels of a land area with reference to a specific point, and mapping undulations and water bodies.There are two main types of surveying: plane surveys and geodetic surveys. Plane surveys assume the earth is flat,...
1.0K
Types of Surveys01:27

Types of Surveys

Surveys are essential for marking property boundaries near water bodies. Different types of surveys are defined, each with its own function. Land surveys mark the property boundaries, while route surveys determine the position of properties on nearby highways. Topographic surveys create maps by capturing the three-dimensional features of the land. Hydrographic surveys focus on the shapes of underwater areas and the movement of streams through the properties. Mine surveys determine the relative...
356
Survey Safety01:28

Survey Safety

Surveying near highways, rough terrain, or power lines involves significant risks. Working along highways is particularly dangerous and requires the use of warning signs and flagmen. It is safest to avoid working directly on roads and use offsets whenever possible. When highway work is unavoidable, it must follow all safety guidelines. Surveyors should wear bright clothing, such as orange reflective vests, to ensure visibility to motorists, coworkers, and hunters. In construction zones, wearing...
380
Emerging Adulthood01:27

Emerging Adulthood

Jeffrey Arnett's concept of emerging adulthood offers a framework to understand the unique developmental stage between adolescence and full-fledged adulthood, generally from ages 18 to 25. This period is marked by extensive exploration and shifts in identity, relationships, and career choices, a process known in psychology as role experimentation. Emerging adulthood reflects the evolving cultural expectations surrounding adulthood and the dynamic process of personal transformation during...
649